桃红四物汤加味对指背筋膜蒂皮瓣修复指端缺损疗效的影响  

Effect of Taohong Siwu Decoction on Repairing Fingertip Defect with Dorsal Digital Fasciocutaneous Flap

作　　者：官龙洲 潘希彬 张翠花 钟云祥 谢延华 曾梅珍 GUAN Longzhou;PAN Xibin;ZHANG Cuihua;ZHOGN Yunxiang;XIE Yanhua;ZENG Meizhen(Department of Orthopedics,Heyuan Hospital of Traditional Chinese Medicine,Heyuan 517000,Guangdong China)

机构地区：[1]广东河源市中医院,广东河源517000

出　　处：《中国中医骨伤科杂志》2022年第2期45-48,共4页Chinese Journal of Traditional Medical Traumatology & Orthopedics

基　　金：河源市社会发展科技计划专题(河科043)。

摘　　要：目的:评价桃红四物汤加减方对提高指背筋膜蒂皮瓣成活质量的影响。方法:选择2015年6月至2021年6月收治的60例指端缺损患者,进行指背筋膜蒂皮瓣修复创面,并随机分成对照组与治疗组(各30例),治疗组在对照组的基础上,术后连续服用桃红四物汤7 d,对比两组皮瓣的术后第1,3,7,14天肿胀程度,术后14 d皮瓣成活率、皮瓣血循环优良率,以及术后3个月皮瓣挛缩程度。结果:两组在皮瓣肿胀情况方面,术后第1天无明显差异,第3~14天治疗组肿胀程度均小于对照组;术后14 d,治疗组皮瓣质量优良率(93.3%)明显优于对照组(76.6%),差异有统计学意义(P<0.05);在皮瓣成活率方面,两组间差异无统计学意义(P>0.05);术后3个月,对比皮瓣挛缩情况,治疗组优良率(93.3%)明显高于对照组(80.0%),两组间差异有统计学意义(P<0.05)。结论:在指背筋膜蒂皮瓣修复指端缺损术后使用桃红四物汤,可改善皮瓣静脉回流,明显减轻皮瓣肿胀,预防皮瓣发生严重挛缩,提高皮瓣成活质量。Objective:To evaluate the curative effect of Taohong Siwu decoction on improving the survival quality of dorsal finger fasciocutaneous flap.Methods:60 patients with fingertip defect from June 2015 to June 2021 were randomly divided into control group(30 cases)and treatment group(30 cases).Taohong Siwu decoction was given continuously for 7 d after operation.The degree of swelling of the skin flap on the 1 st,3 rd,7 th and 14 th day after operation,the survival rate of the flap and the excellent,good rate of blood circulation of the flap and the degree of skin flap contracture 3 months after operation were compared between the two groups.Results:There was no significant difference in the swelling of skin flap between the two groups on the first day after operation.The degree of swelling in the treatment group was better than that in the control group from the 3 rd to 14 th day.The excellent and good rate of skin flap in the treatment group(93.3%)was significantly better than that in the control group(76.6%)on the 14 th day after operation.There was no significant difference in flap survival rate between the two groups.Three months after operation,the excellent and good rate in the treatment group(93.3%)was significantly higher than that in the control group(80.0%)as compared with the skin flap contracture,and there was a significant difference between the two groups.Conclusion:The application of Taohong Siwu decoction after repairing fingertip defect with dorsal digital fascial pedicled flap can obviously reduce the swelling of skin flap,improve the venous reflux of skin flap,prevent severe contracture of skin flap and improve the survival quality of skin flap.

关 键 词：桃红四物汤 筋膜皮瓣 肿胀 瘀血 中药 

分 类 号：R274.39[医药卫生—中医骨伤科学]